BOBBY JEAN STEWART (MSN, FNP-BC) – Family Nurse Practitioner, NPI 1861734972

BOBBY JEAN STEWART (MSN, FNP-BC) is a healthcare provider. based in Memphis, Tennessee. specializing in Family Nurse Practitioner. They hold the professional credentials MSN, FNP-BC. They hold a License No. 95017778 (CA). The NPI Number for BOBBY JEAN STEWART (MSN, FNP-BC) is 1861734972

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
BOBBY JEAN STEWART (MSN, FNP-BC)
NPI
1861734972
Phone
Not provided
Address
965 RIDGE LAKE BLVD STE 103
Enumeration Date
27 March 2013
Last Update Date
18 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9012265000
Graduation Year
2012 (14 years ago)
PAC ID
2466698253
Group Practice PAC ID
6204730195
Professional Enrollment ID
I20130424000277
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:13State licenses:3Digital endpointsOther names

Provider Addresses for BOBBY JEAN STEWART (MSN, FNP-BC)

  • 965 RIDGE LAKE BLVD STE 103

    MEMPHIS, TN 381209446

    Phone:

    Fax: (901) 227-8591

    Type: Mailing

  • 670 N GERMANTOWN PKWY STE 18

    CORDOVA, TN 380186287

    Phone: (901) 753-7686

    Fax: (901) 759-9968

    Type: Location

  • 8094 CHRYSALIS CV

    CORDOVA, TN 380167197

    Phone: (901) 791-2478

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $190.

Total Amount is formed as General ($190) + Research ($0) + Ownership ($0) = $190.

Last reported payment date: 2023-03-04 • Largest payer in this snapshot: ShockWave Medical, Inc ($190).

Total Amount

$190

General + Research + Ownership

Payments

2

Total payment records

General Amount

$190

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ShockWave Medical, Inc$190
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130424000277INurse PractitionerTNTBD
I20200128002542INurse PractitionerMSTBD
I20230322001862INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204730195View full group profile

Reviews

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Frequently asked questions

What number should I use to identify BOBBY JEAN STEWART (MSN, FNP-BC) for billing?
Administrative and clinical systems typically use NPI 1861734972 for BOBBY JEAN STEWART (MSN, FNP-BC).
Quick check: is BOBBY JEAN STEWART (MSN, FNP-BC) active?
Public NPPES data shows BOBBY JEAN STEWART (MSN, FNP-BC) with an active NPI status right now.
How should patients interpret BOBBY JEAN STEWART (MSN, FNP-BC)'s specialty?
The extract shows Family Nurse Practitioner for BOBBY JEAN STEWART (MSN, FNP-BC). Clinical services aligned with this taxonomy classification.
What geographic area is tied to BOBBY JEAN STEWART (MSN, FNP-BC)?
BOBBY JEAN STEWART (MSN, FNP-BC) is associated with Memphis, Tennessee in the same public data insurers reference.
Why is information missing for BOBBY JEAN STEWART (MSN, FNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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